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BUILDING. INSPECTOR RECORD <br />SITE.WORK OATE ID/SIG.COMMENTS Owl'IER BUILDEN DEI'ARATION <br />I is.r, rnm r.d.r Fmlly oa p.rJury lhn I m 6ftfl &.n lh. CorntadoE Lic@ t w lor lh. folLwins rce, (Sc 'r0l I 5 <br />aui.s !d ftofsbn Co&) ADy Cny or Coury whah Equi6 . Fni to odrucl, .tq. i!4rov.. dirclih or EF, dy <br />arude Fir to ! isueq .bo rquir6 th. rgrlEd lor luch Fnil lo 6k. risn.d stdciMt lh. hc or slE it licd.d PuN.,n <br />ro rh. E vnbN of lh. CoIE*lor'r L i.E*d L:v louFa e. Co,m*in8 lith Sdi,n T()OO of &vi.bn I of llE BuitB rd <br />Ptursont Co<l.) or rh{ lEor{Es- pr rhq.nom lrd lh. b66 6r llt.llq.d d@Fbo a.yvioldionofsxlbrT0ll.Sbydy <br />.ppli.ul tu. . pqinl rbi<ts tlr +plicDt lo r civ il p.ldry of nol mG thu nt. hu.dr.d doll6 (tJm) <br />I. s o*s ofrh. pmpsix or my .'IploF6 vith w.s6 s ih.t $k omF.sdion. wiu & lh. *dl td dE ltndE ir mr <br />idq'd.d d ofi.ld ld eL (se 7o+r. BGi,B ud Prcrdiod Co& IrE cotudd r IxdB l,* &a mr .rplt h s ow or <br />rhcF,rE,r- who hrl& or m.rmB ln6arn. ed who d(E lsh wn hm*lf or na*lao. lhmuSh hL or hB om dplor6. <br />Fovii.d rha sh ihllrlErs E m{ rrod.d d ofidd itr !& lf. how, dr hlldr8 G Eg.DGer ir 5!l *rir! c !d <br />oaft,rpldih, ttE 0*16 B{d& will l[w tlt hrdar of pro!-g thn & d dE dn mt hild or inFow 0E FDFry lbr $. Frpos of <br />-1,s.vn6olth.Fopdt.o.ftUrie.ly.o dhs *ith lic6lal c.ilr&lo6 <br />'o <br />codtud rlE F!r.d (Sd 704.1, &!rB <br />fil An6.idCon:Tn.('o.trlor'rl,t@L.*'dG@l.pplyroaorEofFop.ny$hobuil6o'mp@r6rhao.. <br />lnd *ho Nidlcl3 ld !u.h F$r..levnh r CDnh.io(3) li.cnEd pu6ut to th. Co r..1o. t Li.@ trw) <br />I m.rmt, undq S6tmi,,8.&l'('tulhirr.Mn <br />l).rc On..r <br />u98trE[LCAllIEXiArrA! <br />DICIdAAIIOI <br />I hq.by !firn und6 Frxy ofp<jury om of rh. followin8 dcrlMliont <br />-l <br />ft&. srd *ill milnu . CqraE r. oacon5 io S.lf-lNE tor wrld N6pdB.liod. B FrviLd fot by Sclion rT@ otllE <br />l.bor aode for rh. pdfotu. o t !. s,t for *hrh lh. Fnn t i$.d. <br />I }3v. rnd w'll fra'nlain wor[6-.ofrr.Bat rcqun d bysdhn-1700ofrh. t Ltr co&, for rfi. FfolM. of <br />lh. *srl ior shi.h thir pqinit i. ed Mt worl6 ion EUuc (!fu &n Fli) nrmb., a.: <br />I e{r',i thr in (h. I{r11,,rnan.c of thc I{tr shich lnir rErmil is su.d, I lhrll nol dploy.ny p.r$n in uy meffi <br />$ G b b..om lticl to tlr E 16' onFd bn LB of Cllitomi di r8tB th. it I rhould tEoE eb€r lo lll <br />Norl6 conrEnsrion povBioN of S6lDn l?00 ofrh. Lrbor ('od., I .tEll, fodhwnfi o'Iply wnh lhoe povtiod <br />wAR.'tlNC ['nle ro sd. x,ta omFs.lion cov6.*. it uh$tuI. !d rldl sbjcl e anpbta ro 6ihin l Frlb !d <br />ctril lin6 4 !o or hu4&.d thd6.nd .!. <br />sal'on 10?6 of rn llbor Cdle i,td ord <br />), m add irr ro rhc con or.omFNr.-'2 <br />I hscb_! lmm uids ,qtrllr. o Fjury rh! I m li.d!.d u.dd Fovtion or()Epla 9 (onlljdins rnh sdb. 7000) ot Dr i.. l <br />B Codc. Erd my IE.G B n tull fo(...d.lfdr. <br />/#-6 <br />:::ffi:-e: <br />laXirau(Iro.tt-Llilltlc-acllcr <br />rhd. s. odtudnn l,l,B !3tr) for rlE Ffolrrr4. orrh. ur"l for i'hth rh6 Fni B <br />iru.d (sd. i09?, civ. c.) <br />6fILICAXI.IESJAAIIA! <br />I hrtbr' rIIm u.d6 pqrhy ol psjuy oN of rhc fou.vins <b.br.rioa. <br />D.mhh( P@ne^lbald Norilk.rion F.dd.l RcguLl[G (TnL 40. Prn6) <br />. R.quncd l.ird o f Notin6rbn <br />I cdrit rhd $. lcddrl r.snhlhN r.srdirs sb.s6 Enorsl u. rcr .$l&bL & th! F$j..r <br />lX/ I cdrf, rhd I hdc @d rhr lp?lx.ron dd srar. rhd rlE rhv. infomlion 6 coftcd.I.gra lo comply*nh.I Cnyod Counly i <br />ordinm6 -d srdc ll{! Et sB ro t{ildins .oBtu.rrcE sn ,E b} iulh.M EF@ndn6 of rtk Cil <br />.1-y# <br />tL:hl <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framinq <br />lnsulation/Enerqy <br />Drywall <br />Ext./lnt Lath <br />Brown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Enqineer Final Report <br />Flood Zone Certif <br />FINAL 7 -ta-L.o f+{ r,q <br />Certificate of Occupancy <br />Notes, Remarks, Etc.